Cartilage Conundrums in 2023: Cases From the Experts (2023 Annual Meeting)-Introduction

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Video Summary

In the ICL 302 session at Mayo Clinic, experts discussed a 25-year-old female patient with mechanical knee symptoms and medial patellofacet cartilage damage but no history of instability. The consensus emphasized thorough assessment and conservative treatment initially, such as arthroscopic debridement and chondroplasty, to alleviate symptoms without aggressive early cartilage restoration. Biopsy during surgery can inform future treatment but may complicate patient expectations. Panelists agreed that simple debridement often suffices, with caution against over-treatment. Strategies vary with lesion severity; more aggressive approaches are reserved for larger defects. Patient counseling and individualized decisions remain crucial for optimal outcomes.

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Aaron Krych, M.D.

Keywords

mechanical knee symptoms

medial patellofacet cartilage damage

arthroscopic debridement

chondroplasty

conservative treatment